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What Others Have Asked...
Q
Hi there I think I have bacterial vaginitis. I have quite offensive smelling discharge down below despite showering twice a day and keeping clean. I have had it for some time - maybe 2 years and wondering whether it would have got worse or not but I am unsure. I would rather be seen at a sexual health clinic rather than my GP if possible. Is this something I can attend within the swish clinics? Thank you :)
A
Please contact SWISH to arrange an appointment to attend and discuss your symptoms, you may require an examination and have tests taken when you attend.
Q
Hello I live within BANES cathchment area- are you aware of similar service within Bath Regards Kate
A
Thank you for your query, you can access sexual health and contraceptive services from The Riverside Clinic in Bath. Either call 01225 826855 or visit https://www.ruh.nhs.uk/sexualhealth/contacts/index.asp?menu_id=1
Q
Where do I email a referral to you?
A
Please see the professional page of the SWISH website. You can send your referral form here You can send a referral to swish@somersetft.nhs.uk
Q
I’ve just tested positive for Gonorrhoea but it is difficult for me to go to a clinic to get the antibiotics injection. Am I able to get tablets posted to me? Are they as effective as the injection?
A
First line treatment for Gonorrhoea is an antibiotic given by intramuscular injection. If you have tested positive for Gonorrhoea you will need to attend clinic for other tests and this treatment. It is important that you contact SWISH on 0300 1245010 and speak to a health advisor who will arrange this for you.
Q
Can swish give medication for instance for my problem of balantis?
A
You can see your GP or SWISH if you have symptoms of Balanitis. Please see here for further information on Balanitis
Q
My online test results do not show negative for HIV yet although I received a text from a number yesterday March 19th from a number I do not recognise assuring me they are negative. The test at the clinic was done last Thursday March 14th.
A
Results from tests taken in SWISH clinic and results from online test kits will be received seperately. If you have any concerns please ring 0300 1245010 to speak to a health advisor.
Q
Currently on antibiotics. But I’ve ordered a home testing kit how long should I wait before testing could it affect the results with being on antibiotics
A
This will depend on which antibiotics you are taking and what you are being treated for. Please contact SWISH and ask to speak to a nurse advisor who will be able to give you further information or speak to a pharmacist
Q
If I’ve had scabies and carried out treatment and the itching still persists what should I do?
A
If you have used treatment for scabies and your skin is still itching 2 to 4 weeks after treatment has finished, you should see your GP to discuss if you need any treatment to help the itch.
Q
If your clinic is for children, where can adults go for STI assessment and treatment please? Thanks
A
SWISH is a service for adults and young people. You can arrange an appointment with SWISH by calling 0300 1245010 or booking online here
Q
My teenage daughter has just found out she is pregnant. Where can I go for advice/support??
A
If your daughter would like to continue with the pregnancy, she should arrange to see her GP to arrange ongoing care. If she does not wish to continue the pregnancy see www.bpas.org for further advice. If she wishes to continue the pregnancy and consider adoption for the baby, contact Somerset Direct on 0300 123 2224
Q
Do you do internal scans for lower abdominal pain?
A
No SWISH do not perform scans. If you have symptoms that you are worried about please discuss them with your GP
Q
I got the implant early January 2024 but I feel like it has moved or the end is being pushed out (best way to describe it). Is this normal or something to be concerned with?
A
It is not unusual fot implants to move very slightly in the arm. If this was fitted by SWISH, please get in touch so we can have a consultation with you as we may need to get you to attend so we can examine the implant site.
Q
I’m not in Somerset but if I need a prescription where do I get it from
A
You should contact your GP or local sexual health service.
Q
I’ve been on Rigevidon for 8 months now and it’s worked perfectly for me. However in the past 3 months I’ve been getting week long breakthrough bleeds whether I take a break from the pill or not. I took a week long break and than 3 weeks later started bleeding for a week while still taking the pill. Do you know what’s causing this?
A
Things that can affect your bleeding pattern whilst taking the combined pill can include having an STI, having an upset stomach, missing pills, starting on new medication and extreme weight change. You should complete a STI screen and pregnancy test and if these are negative then y0u should discuss your bleeding pattern with whoever prescribed you the pill as you may need to try an alternative method.
Q
I have received 6 months worth of Desogestrel pills from SWISH and will be needing some more soon as I’m out of the country for 3 months. How do I get another box please?
A
You need to contact your GP or SWISH to arrange another supply, and you can now buy Desogestrel from pharmacies.
Q
Do you have to be referred by a GP to access your psychosexual service
A
Yes you need to ask your GP for a referral to the psychosexual service at SWISH, they may need to perform other investigations before you are referred.
Q
Hi, I am on the pill (Rigevidon to be specific) and I have been taking it for about 3 months. I don’t want my period so when I get my next lot of pills can I just keep taking them and not have a break or do I have to have a break? If I keep taking them will I still be covered against being pregnant?
A
You can take that pill continously if you wish to avoid bleeding and you will still be covered against pregnancy, as long as you do not miss any pills. Please see here for more information, look at the how to use the pill section
Q
I am concerned about whether I can have children and was wondering if there was a way to test my sperm without going to my GP
A
This is not something that SWISH can deal with. You would need to discuss this with your GP or see here for further information about low sperm count.
Q
I want my coil Mirena removed
A
Please arrange this with your GP and if they are unable to provide this service you can contact SWISH on 0300 1245010 to arrange an appointment.
Q
Where can i get a termination?
A
Please call 03457 30 40 30 or see here to make an appointment for an abortion.
Q
can you send a pregnancy test?
A
No SWISH cannot send out pregnancy tests. If it is difficult for you to buy or obtain a pregnancy test, please contact SWISH and ask for a phone consultation with a nurse and an appointment may be made for you to come into clinic to perform a pregnancy test.
Q
If I book an appointment for an implant or the coil do I have to bring an adult/parent with me if I'm under 18 and do they have to know?
A
You do not need to bring an adult/parent with you for an implant or coil fit and they do not need to know if you choose not to tell them. This can be discussed with you in more detail when you have a discussion with a SWISH practitioner before the actual procedure.
Q
How long after chlamydia treatment should I test again
A
You need to wait at least 6 weeks after finishing treatment to repeat a Chlamydia test.
Q
I am just across the county border in Devon. Can I attend SWISH?
A
Yes, you can attend SWISH. However if your request is for a contraceptive implant or coil and your GP surgery provides this, you will need to arrange this with them.
Q
Can I get a testosterone test kit?
A
SWISH do not provide Testosterone kits. Please discuss this with your GP
Q
Hi there, I’m enquiring about getting a herpes test. Please could you advise me on how to go about this, and what my options are? Regards, XXXXX XXXXXX
A
If you have symptoms of Herpes and have never been tested for it, you can contact SWISH to arrange an appointment for an examination and a swab can be taken from the blisters/sores. Please call the health advisors on 01823 428345 if you wish to discuss this further
Q
where can I get testosterone treatment?
A
You should discuss this with your GP
Q
If results are send via email or text, why do you require name, birthdate, address etc?
A
Your name and date of birth are required as proof of your identity. Your address also acts as a form of identification and is required when test kits are sent to you.
Q
How will I receive results from a home test kit? Also, is testing confidential, as you require a lot of personal information for the test kit
A
Results from home testing kits will be sent by text and/or email. Depending on the type of kit you have used you may be asked to log into your testing account to access your results. Sometimes you may be asked to ring in about your results if there is something we need to discuss with you. Please be reassured testing is confidential and only information that is necessary is requested. If you are using the SH.UK service there may be additional questions which are asked as part of a risk assessment and these are asked so that the correct kit for your particular needs is sent to you, it can also help us signpost you to other services or offer other services within SWISH.
Q
Booked in to have coil fitted in few days time but have come on my period can I still have it fitted
A
Yes it is OK to fit a coil when you are on your period, you do not need to cancel or rebook for this reason.
Q
How can we be sure that vaginal discharge is normal (and not an infection), when there's just too much during ovulation and causes a bit of discomfort? I have asked my GP for swabs or an appt to make sure, but their only response was for me to take over the counter Thrush medicine. Is it safe to do that without appropriate diagnosis?
A
Vaginal discharge can be very normal, it is a fluid or mucus that keeps the vagina clean and moist and also helps protect it from infection. It can be heavier at certain times within the menstrual cycle and can also change consistency. If discharge is smelly, itchy, or making you feel uncomfortable however, it should be investigated. It may not necessarily be thrush so we would advise a discussion with one of our nurses to discuss your particular symptoms and put a plan in place for you. If you ring our booking line on 0300 1245010 they will be able to arrange this for you.
Q
I have received the home test packet (thank you), but can I do the vaginal swab whilst I’m on my period or do I need to wait?
A
The result should not be affected if you are bleeding when you take the swab for the home test kit.
Q
Do I need contraception? Aged 56 and been on hrt patches for approx 2 years.
A
In general, all women can cease contraception at the age of 55 as spontaneous conception after this age is exceptionally rare even in women still experiencing menstrual bleeding.
Q
I think I’m pregnant
A
If you think you may be pregnant you should do a pregnancy test which will be accurate 3 weeks after unprotected sex. If you have a positive result and wish to continue with pregnancy please see Finding out you're pregnant - NHS (www.nhs.uk). If you have a positive result and do not wish to continue with pregnancy please see BPAS | BPAS for information on what to do
Q
Hi I have received my email saying that you have my results however I only have the tracking number not the reference code, I’m unsure on what to do. This is my number 07xxx xxxxxx and the tracking number is PXxxxxxxxx
A
Please contact the nurse advisors at SWISH on 01823 428345 and they will be able to check your results for you
Q
My boyfriend has tested positive for chlamydia but we haven't had sex could i have it?
A
Chlamydia can be transmitted through intimate touching as well as penetrative sex. It is a common infection so if you have not tested since your last sexual partner then we would recommend that you do a Chlamydia test.
Q
Is there any way to access my own bloods results? I want to know what STI I was tested for exactly when I went to the clinic, as the message I received doesn't tell me
A
You cannot access online results for tests which were taken in clinic. Please contact SWISH on 0300 1245010 and ask to speak to a health advisor who will be able to go through your results with you.
Q
Hi, How do I get onto the click and collect for my c-card and order it online because I can't seem to find how to do it anywhere?
A
If you have registered for c-card+ and set up your profile having created a password, you can login to your profile and order condoms at www.myccard.co.uk
Q
Can you walk in and out for emergency contraceptive pill without much details known?
A
We do not do walk in clinics. To arrange emergency contraception please ring 0300 1245010 option 1 and the booking line will arrange for one of our nurses to call you back. We require certain information in order to be able to supply medication safely and appropriately, please be reassured our service is confidential unless we have concerns about your personal safety.
Q
If I test positive for an STI, can my partner be treated at the same time as me?
A
Your partner can also be treated at the same time however they would need to have a telephone consultation first (to check things like medical history/medications/allergies etc) If they ring the Nurse Adviser on 01823 428345 they can arrange this.
Q
Hi, Can HIV show sooner than 4 weeks I sent my test off around 2 1/2, 3 weeks after sexual intercourse. My test came back negative but I just want to see how accurate that is?
A
The HIV test provided by Preventx is highly accurate after 4 weeks and almost 100% after 8 weeks. There is no data on accuracy levels prior to 4 weeks therefore it is important to test out of that window period in order to gain a meaningful result. You would not be able to rely on a test result if taken too early.
Q
I'm booked in for coil can I change it for depo?
A
Yes you should be able to have the depo if you prefer, if you are medically eligible and are not at risk of pregnancy.
Q
I was diagnosed with herpes four years ago and the only information I know I googled. Is there any medication I can take to manage my flare-ups/ symptoms?
A
Please see Herpes Viruses Association - Helping You With Genital Herpes for accurate and up to date information on HSV. You may be able to take anti-viral tablets to help with symptoms during an outbreak, please contact your GP or SWISH to discuss this further
Q
Do the home tests test for herpes?
A
The home tests do not test for herpes. To test for this virus you need to be seen in clinic when you have symptoms – blisters or ulcers in the genital area. We then swab from the ulcer/blister site. If you have signs or symptoms of herpes simplex virus please contact our booking line on 0300 1245010.
Q
Do the home tests come in a discreet box?
A
The home test kits are discreetly packaged in opaque poly bags that include the address and postage on. Kits are sent first class post (Royal Mail) and the kit will fit through a standard letter box.
Q
Can the copper coil stop your periods or make them very light?
A
A copper coil (IUD) may make your periods heavier, longer or more painful. This may improve after a few months.
A hormonal coil (IUS) may make your periods much lighter and shorter and sometimes less painful. They may stop completely after the first year of use. This can be useful if you have heavy, painful periods.
Q
Do you offer cervical screening?
A
Currently we are taking details of those people who would like a cervical screen with us, we anticipate training clinics being set up in the near future and would be able to offer at that point. If you would like to be added to the list please call our booking line on 0300 1245010. Your GP surgery should also be able to offer you a cervical screen if you are due to have one.
Q
Hi there. I had chlamidya and once I'd been put on my course of medication (24 tablets, 2 a day for 2 weeks. At one point I missed 3 tablets back to back, but then just continued the pack until they ran out. Will that 3 day break have made the pills ineffective? Will I need to buy another course?
A
For antibiotics to be effective they need to be taken regularly as prescribed. If not taken regularly you will fail to keep a therapeutic level of drug in your body and the antibiotic may not work properly. We would advise taking a full course and not miss any pills. If you need to access re-treatment for chlamydia please ring our Health Adviser Team on 0300 1245010 (option 2) and they will be able to help you.
Q
I have suffered with Erectile Dysfunction for a while and have tried Viagra and Cialis but neither helped. I seem to have lost my libido altogether, is there any help I can get to help resolve this ? I am over 75 years old but quite fit.
A
Please discuss these symptoms with your GP as you may require investigations which SWISH are unable to provide
Q
Good morning, is it possible for an implant to be replaced before the date it’s due to be changed? With thanks XXXXX XXXXX
A
Implants may be changed within a couple of months before they are due, if necessary, but they are unlikely to be changed any sooner than 3-6 months before the due date
Q
4yrs ago I woke up with an acute bend in my penis, I thought I had broken it in my sleep. Realise what has happened but my penis is shrinking in length and girth, have hard lump at base, guess scaring. Also lost feel , got worse over 20yrs, need an operation on lumber as severe stenosis. Live overseas but return to uk for 3-4minths each year. Guidance is required
A
Please see here for further information. You will need to discuss these symptoms with your GP
Q
Is it possible that after treated chlamydia both partners by weekly antibiotics Chlamydia can return or there is no possibility like that?
A
If both partners have completed their treatment for Chlamydia and have not missed any doses or had an upset stomach whilst taking the treatment, and have avoided any type of sexual contact until they finished their tablets then the Chlamydia infection should be fully treated. If there is any doubt a repeat test can be sent, but you must wait until at least 6 weeks after finishing your treatment to complete one.
Q
Hi, do you test for trichomoniasis in your home kits?
A
No, the home test kits provided by SWISH test for Chlamydia and Gonorhhoea but NOT Trichomoniasis. If a blood test kit is included, that will test for HIV and Syphilis.
Q
Hi, I Was just wondering if I'm able to get the morning after pill for free and contraception as well? I went to the chemist today but I can't afford £30.00 for a pill. Kind regards
A
Please contact SWISH on 0300 1245010 as soon as possible to arrange a consultation to discuss emergency contraception and pills. Contraception is free in the UK if obtained through sexual health services or your GP.
Q
how can i be prescribed by swish in yeovil for the free contraceptive pills? Also do you have to be a certain age?
A
You can get contraception for free from either your GP or SWISH, whilst of child bearing age. If you want to make an appointment with SWISH to arrange contraception, please call 0300 1245010 or book online here
Q
I’m looking to get an abortion pill. Could you give me some more information on what I need to do next please ?
A
To arrange an abortion please call 03457 304030 or go to www.bpas.org
Q
Can I pick up a home testing kit in person rather than send in the post?
A
You can collect a testing kit for Chlamydia & Gonorrhoea from any of our SWISH clinics whilst they are open. You would need to attend our main clinic at Millstream House in Taunton to collect a kit that also includes the blood test for HIV & Syphilis.
Q
I am on the mini pill and I have been for 3 months and I have been bleeding for 2 and a half months should I be concerned?
A
Some people will experience persistent and prolonged bleeding on the Progestogen-only pill. If you are not up to date with STI testing then you need to rule out infection as a cause of your bleeding and you can order a home test kit here. We would suggest that you contact your GP or SWISH to discuss your bleeding and potentially discuss an alternative methid of contraception.
Q
Do you prescribe the contraceptive pill?
A
Yes, SWISH can supply contraceptive pills
Q
Hi, I am currently on the mini pill however I won’t stop bleeding and I would like to go back to the pill where you take a break and don’t have break through bleeds. I have been on the other pill before where you take a break and have had different options of. That type of pill however, if I want to go back onto that pill will it effect how protected I am? Because I have taken so many different contraceptives Will that lower my protection? I would really appreciate a reply as I am just worrying at the moment! Thank you
A
Switching types of pill will not lower the effectiveness of contraception, however not taking a pill correctly may lower the effectiveness. If you are bleeding on the Progestogen Only pill and wish to swap to a Combined Oral Contraceptive pill, please contact your GP or SWISH so this can be arranged for you and so that full instructions for changing your method can be given. You may need to have your blood pressure and body mass index checked also. Due to your bleeding on the POP, you should consider STI testing if you have not tested since your last change in sexual partner.
Q
Can you provide me with genital wart treatment? My GP diagnosed a genital wart but the prescription they gave me no pharmacies had as it was out of stock everywhere and unable to order in. Are you able to provide me with something?
A
You will be able to have wart treatment arranged by SWISH but you require a consultation and assessment first. Please contact SWISH on 0300 1245010 or here to make arrange a consultation with a practitioner.
Q
Ever since starting the pill last year, I’m finding I get heat rash now when there’s a big change in temperature. Do you think this could be the cause?
A
We would recommend getting in touch to discuss further on 0300 1245010 or go through the booking link Book Appointment | SWISH (swishservices.co.uk)
Q
Is SWISH letters sent though the post discreet? More specifically letters about appointments for a new patient
A
We don’t tend to send letters through the post, but if we do they come in a stamped white envelope
Q
I’m currently just at the end of backpacking & I’ve ordered a test kit to arrive about 2 weeks before I’m actually home. It arrived faster than I thought it would. I just wanted to make sure the test will still be accurate/ work if it’s been waiting at my house for 2 weeks? Thank you!
A
Yes the kit will fine to do, it is only time sensative once the kit is completed as you need to get back to the Lab asap
Q
Why is it not informed to online users that there is a limit to the amount of tests you can get and it only tells you once you’ve reached the limit?
A
Currently you should be able to order 3 tests within a 6 month period. Frequency of testing is very dependant on a number of factors including the level of sexual activity, change of partners and high risk encounters. The British Association for Sexual Health and HIV encourage 3 monthly testing for higher risk patients, for instance men who have sex with men where condoms are not being used. Otherwise testing once every 6 to 12 months would be a general guide. However, there may be circumstances where a person needs to test more frequently. If a person wishes to exceed their expected testing capacity this can be arranged via the Health Adviser Team on 01823 428345 who would be happy to assess the risk and order an additional test kit via their SH.UK account if indicated.
Q
I had a copper IUD inserted in 2018 by a SWISH clinic and now live in Australia, I cannot remember if the coil inserted lasts 5 or 10 years, how would I be able to find this out?
A
Please email SWISH@somersetFT.nhs.uk with your details and we will be able to check your records and email you back
Q
Can Swish help with Erectile dysfunction
A
You need to speak to your GP if you have symptoms of erectile dysfunction, as you may require investigations which SWISH are unable to provide.
Q
I had the non-hormonal copper coil IUD put in about 6 months ago and it has caused me to have a period which is currently 150 days long! I don't want to have the coil removed, what else can I do to stop my period?
A
We would not expect you to have bleeding for that amount of time with your IUD. You should arrange a consultation and coil check with your GP if they fitted it, or with SWISH otherwise.
Q
How do I get my next prescription of the pill I’m on ?
A
Please contact your GP or SWISH to arrange an appointment to discuss another supply of your pills.
Q
My implant has caused prolonged periods (3+ weeks) and I don’t plan on getting it removed. Will this problem stick until the implant is removed, or will it improve with time?
A
Irregular and prolonged bleeding with the implant is common. It may settle down in time, however if it persists you should speak to your GP or SWISH for further advice and have an STI screen if that is not up to date. Please see here for further information on the implant.
Q
Good afternoon, I got the implant at the start of January this year and i had no periods for a while i have now been on for just over a month. I understand you need to let your body adjust but how long is too long?
A
Irregular and prolonged bleeding with the implant is common. It may settle down in time, however if it persists you should speak to your GP or SWISH for further advice and have an STI screen if that is not up to date. Please see here for further information on the implant.
Q
Can you help me with abortion choice
A
To discuss abortion choices please call 03457 304030 or go to www.bpas.org
Q
How do i check my sperm count how do I improve ejaculation amount
A
You woud need to discuss checking your sperm count with your GP.
For information on improving sperm quality and improving fertilty click here and here
Q
Do you offer abortion services?
A
No, SWISH do offer abortions. To arrange an abortion please call 03457 304030 or go to www.bpas.org
Q
My depo injection is due to end in may (not planning on having my next one) but I’ve been getting some discharge which I have googled and it’s saying it’s discharge before you start ovulating so I have taken some ovulation test and it’s coming up with 2 lines. Are they false positives or am I genuinely ovulating? Is this a sign my depo is getting weaker as it’s coming to the end?
A
If used correctly, the contraceptive injection is more than 99% effective and it remains effective for 8-13 weeks after it is given (depending of which type you have had). The main way that it works is by stopping ovulation so it is unlikely that you are ovulating. If you have a change in discharge, and are at risk of STIs, we would recommend that you complete a STI screen.
Q
Are swish still fitting implants
A
Yes SWISH fit contraceptive implants, however if you are over 18 years old and your GP surgery fit implants then you will need to arrange it with them.
Q
Are you able to remove a Mirena Coil as I have been waiting since July and it seems that my GP surgery has no one available to do so
A
If your GP surgery is unable to remove your coil, please contact SWISH so this can be arranged for you in our clinic.
Q
I was diagnosed with HPV (male). Should I tell my ex-partner who I had unprotected sex with?
A
Notification of previous sexual partners is not recommended for HPV. Current sexual partner/s may benefit from assessment however as they may have undetected genital warts, other STIs, or need an explanation or advice about HPV infection.
Q
I've just been reading your online home STI testing page which claims that the HIV test is highly accurate at 4 weeks and 100% accurate at 8 weeks. Could you please confirm if this is correct, and if so, is this 8 weeks as in 56 days post exposure?
A
The test is highly accurate 4 weeks after exposure and almost 100% after 8 weeks (i.e 56 days following exposure). For complete peace of mind we would advise that you repeat the HIV test at 12 weeks after exposure. If you would like to discuss ths further, please contact SWISH and ask for a phone consulation with a Nurse advisor.
Q
Are diaphragms still an option for contraception? I am interested in learning more about them and getting one fitted, is that something SWISH offers or do I need a book a GP appointment for that?
A
Diaphragms are a barrier method option for contraception and SWISH can offer the Caya diaphragm. Please see here for further information on Caya and here for further information on diaphragms. Please contact SWISH to make a phone consultation appointment with SWISH if you would like to this discuss further and arrange to have one fitted.
Q
I think the person who signed up my C-card attached it to the wrong email address. What do I do?
A
Please contact SWISH and ask for a phone appointment with a C-card practitioner
Q
I havent had unprotected sex in over two years should i be worried about stds? I am not currently sexually active.
A
If you have had testing done since you last had sex, and are not currently sexually active, then you should not worry about STI's
If you live in Somerset and wish to complete STI testing, you can order a kit here
Q
Can you do a prescription for a medication to delay my periods
A
Certain contraception may stop your periods but it can take a while after starting the method for this to happen. You need to speak to your GP if you would like medication to specifically delay your periods.
Q
I’m an under 18 male who’s had a lack of morning wood and is a lot harder to gain an errection since around over a year ago is that a reason to make an appointment
A
This is something that you should speak to your GP about as you may require investigations that SWISH does not provide
Q
How do I get abortion pill under 16?
A
If you need to arrange an abortion see information here or you can call BPAS on 03457 30 40 30.
You will be able to access this service regardless of your age
Q
Hiya, Me and my boyfriend have been sexual active for over a year now and it still quite hurts during sex and I'm often feeling quite sore afterwards for a while. I'm just wondering if that's normal and it'll go away or something to be concerned about
A
If you are frequently getting pain during sex then you should contact your GP or SWISH for a consultation to discuss this. You may need to have some testing done and an examination to check your symptoms
Q
How painful is it to have the coil inserted and is pain relief provided?
A
The pain with a coil insertion may feel like intense period like pain, however it varies from person to person. A numbing spray may be used on the cervix and you are advised to take pain relief before the procedure. You would require a consultation before a coil insertion and pain relief can be discussed in greater detail then.
Q
I think I have a vaginal skin tag and has been around for a couple years, is there any way I could get this looked at here or possibly removed ? starting to effect how I feel about myself and my confidence
A
Please contact SWISH on 0300 1245010 or book online here to arrange a phone consultation to discuss your symptoms
Q
I had a baby on Feb 6th, can I get pregnant 3 weeks after?
A
Contraception is required from 21 days after giving birth, although some methods are safe to start before that time. If you are wishing to avoid pregnancy, please contact your GP or SWISH to discuss which method will be suitable for you.
Q
So I’m pretty sure I’m pregnant I’ve took 4 pregnancy tests, 3 were positive and the other one was inconclusive. I’m a trans guy and I’m freaking out but feel awkward about going to swish but I might be about 10 weeks pregnant just haven’t wanted to deal with it. I want an abortion but my mum doesn’t know so I really don’t know what to do?
A
Please contact SWISH to arrange a confidential and non-judgmental consultation if you want to discuss this, however SWISH do not provide abortions. For more information about abortions, and how to arrange one, please click here
Q
Do you offer both hepatitis vaccines please?
A
SWISH can offer Hepatitis A and Hepatitis B vaccinations to individuals from groups who at are at higher risk for these infections from sexual exposure. Please contact SWISH and ask to speak to a health advisior if you feel you may be eligible.
Q
Do you deal with UTIs (urinary tract infections)?
A
If you have symptoms of an UTI, you need to ask for advice and treatment from your GP
Q
Do you test or provide treatment for BV ?
A
You can obtain test kits and treatment for Bacterial Vaginosis in pharmacies but if you are unable to do that please contact your GP or SWISH and ask for a consultation to discuss your symptoms.
Q
Good Morning. I have genital warts for a while now and I have been using the cream from SWISH Taunton that they have provided me. However, because the wart is so big and I am concerned that it is spreading, I would like to request to have surgery to remove the wart completely. This has affected my mental health massively as I cannot have sex at all knowing I have this. Professionally as well, when I have to use a communal shower, I am scared that everyone who knows me will see it and make fun of me. Please can someone help me.
A
We understand that your symptoms are causing you emotional distress. Please contact SWISH on 0300 1245010 or use the online booking form here so your symptoms can be reviewed and we can provide ongoing support and treatment.
Q
Had unprotected sex then stopped taking desogestrel pill altogether 2 days later, is there a chance of pregnancy?
A
There is a risk of pregnancy if unprotected sex has occured from 36 hours after stopping Desogetsrel Progestogen only pill. Please see here for information about POP
Q
When do you recommend getting implants removed? My implants due date is coming up in 5-4 months and I plan on replacing it. However I'm not sure if it's best to get it removed a couple months earlier as I'm sexually active and don't want to risk a pregnancy
A
The contraceptive implant is effective for at least 3 years, so you do not need to arrange to have it changed early. Please arrange an appointment for a refit for around the time it is due.
Q
After doing chlamydia and G home test how long does it take for results? Thanks
A
You should receive results within 7-10 days of sending a test, however if it was a home testing kit this may be delayed due to recent postal strikes
Q
My period is 22 days late, i did two pregnancy tests but both are negative, what else could it be and should i be worried?
A
There are many reasons why a woman may miss her period, or why periods might stop altogether. A pregnancy tets is accurate 3 weeks after pregnancy risk.
For more information please visit here
Q
I’ve done a home west kit how do I recieve my results
A
You can view your results online by logging into your SH.UK account here Should treatment or further testing be required you will be contacted by our clinical team.
Q
I (a male in my mid twenties) have a female partner and we've recently started including other men in sex, am I eligible for the HPV vaccine? If so how do I go about getting the vaccine?
A
If you are a male who has sex with other males and aged 45 or under, you may be eligable for HPV vaacination. Please contact SWISH and ask for a consultation with a health advisor to discuss your eligibility
Q
Hi my name is xxxx and I was wondering how do 2 gay girls have sex and when do they have sex?
A
Please see brook.org.uk and bishuk.com for information that may help you with your queries
Q
Hi, I've done an online test just over 3 weeks after having unprotected sex both giving and receiving anal sex. The results have come back clear, however my urethra has now started to hurt with a constant mild burning sensation, can I order another test kit or how do I go about treating this?
A
Please contact SWISH and ask for a consultation to discuss your symptoms, as you are likely to require a face to face appointment for further testing. Please abstain from sex in the meantime.
Q
How do I book a hep B vaccination? Can I do this online?
A
If you are at risk of exposure to Hepatitis B through sexual contact, you should contact SWISH (by phone or the online booking from) to arrange a consultation to see if you are eligible for the vaccination. If you require the vaccination for occupational purposes, you will need to arrange this through your workplace.
Q
Hiya, my implant is coming up to it's due date to be removed. Do you recommend I remove it and get another one a month prior to its expiration date or on the day it goes out?
A
You do not need to get your implant replaced early. You should arrange for an implant refit when it is due
Q
When can I retest after being treated for Chlamydia?
A
If you and your partner have completed treatment, and avoided sex whilst on treatment, it is not always necessary to repeat a Chlamydia test. However, if you wish to repeat it, you should wait until 3-6 months after and you must not repeat it before 6 weeks after treatment
Q
Do you do smear tests?
A
Unfortunately, SWISH do not perform cervical smear tests at present. You will need to arrange this with your GP surgery
Q
I have been taking Desogestrel for the last two years. I’ve just noticed that my current pack (half way through) says it is 5 months out of date! Could I be pregnant?
A
It is unlikely that you would be pregnant, however, you should; stop taking thoses pills immediately and makes arrangements for a new supply. You should use alternative contraception, like condoms, until you can arrange further pills and you should also do a pregnancy test now and again in 1 month.
Q
my period is late but pregnancy tests say negative
A
A pregnancy test will be accurate 3 weeks after unprotected sex. There are many reasons why a woman may miss her period, or why periods might stop altogether-please see here for further information.
If you worried about the risk of pregnancy, and need contraception, please contact your GP or SWISH so that a method of contraception can be arranged for you
Q
Is it worth coming in for erectile disfunction
A
Erection problems (impotence) are very common, particularly in men over 40. It's usually nothing to worry about, but you should see a GP if it keeps happening. It could be the sign of a more serious problem.
If you are experiencing symptoms of erectile dysfunction, you will need to speak to your GP as you may need investigations which SWISH are unable to offer
Q
I am in my 30s. I have been noticing for the past few months that between my period and ovulation, I have a very light dicharge that feels like burning on my vulva. After a couple of days, that painful sensation stops and the normal ovulation discharge comes up. Is this normal or are my hormones getting unbalanced with age?
A
If you are concerned about unusual vaginal discharge and would like tests done, you should speak to your GP or SWISH
Q
I am trying for a baby is okay to still take sertaline 50mg or do i need to stop taken them
A
You must get advice from your GP before trying to conceive if you are taking any regular medication as it may not be safe to take in pregnancy, and it also may not be safe to stop it immediately
Q
How long after a c section can you have a coil fitted
A
You have to wait at least 4 weeks after a caesarean section for a coil fit, however an alternative method may be more appropriate in the first few months after delivery. If your GP surgery fits coils, you will need to arrange it there. Otherwise please contact SWISH to arrange an initial phone consultation.
Q
My GP has told me to contact SWISH regarding removal of my implant. How do I go about this?
A
Please call 0300 1245010 or use the online booking form here to arrange an appointment with SWISH
Q
Cannot get through via phone as continually engaged?
A
The SWISH phoneline (0300 1245010) is available 9 till 5 on weekdays and 9 till 1 on Saturdays. It is not available on Sundays or bank holidays. You can also arrange a phone consultation or book an appointment online here
Q
Hi there, I would like to know what services here are for a 31 year old woman with cerebral palsy. She wishes to start a sexual relationship for the first time and may require some counselling and advice on the topic.
A
www.brook.org.uk has lots information about having sex for the first time. Please also see Sex & Disability | Enhance the UK .
If you would like a consultation with a practitioner to discuss contraception and sexual health, please contact SWISH and a face to face consultation can be arranged.
Q
I’d been waiting for my results and I’ve been asked to call a nurse but there’s no answer. Does this mean it’s bad news?
A
If you have been asked to call in to discuss your results, it may mean that treatment is required but it can also mean that there was an issue with processing your tests. If there is no answer when you call in, you can leave a discrete message and the Nurse advisor will get back to you as soon as possible
Q
I’ve recently had a coil fitting and I’m still having cramps. I feel like it’s moved and I’m in a lot of pain. What shall I do?
A
If it was fitted by SWISH, or your GP does not offer coils, please contact SWISH as soon as possible to arrange a phone consultation with a coil practitioner.
Q
How would you know if you got endometriosis? And what options are there if I do have it ? At a young age
A
If you feel that you have symptoms of Endometriosis, you should discuss it with your GP as you may need a referral for investigations which SWISH do not provide. Please see Endometriosis - NHS (www.nhs.uk) for further information
Q
Can taking 2 mini pills (2 x 75mg) per dose help with breakthrough bleeding / spotting?
A
SWISH do not recommend doing this. If you have problem bleeding with the progestigen-only pill, you should discuss it with you GP or SWISH
Q
my daughter has just started a job as a dental nurse and needs to book her Hep B vaccinations. she is currently 26 weeks pregnant and we cant seem to find anywhere local. are you able to advise please
A
This is something that your daugther will need to discuss with the occupational health department of her workplace, they will be able to direct her where to go.
Boots offer a vaccination service, see here for further information
Q
can patients self refer for psychosocial support or does a health professional have to refer?
A
SWISH can offer support with psychosexual issues, however you would need a referral from your GP for this. Please see here for further information
Q
I can’t send pic
A
If you are having trouble sending an image to SWISH, as discussed during a phone consultation, please call SWISH on 0300 1245010 for further instructions
Q
Do you test for hep C?
A
Home testing kits available through SWISH do not test for Hepatitis C. You would be offered Hepatitis C testing in SWISH clinics, if you have are identified as having risk factors like drug use and sharing drug equiptment. If you would like to discuss this further please contact SWISH to arrange phone consultation
Q
My period , go on for longer than 10 days every few month. Any reasons this is happened ?
A
There are many reasons why you may have prolonged periods, including using hormonal contraception. If it worries you, you should discuss this with your GP or SWISH
Q
I have the implant but I have not had sex for more than 3 months, if I have sex again now is there a more likely chance of me getting pregnant
A
The implant works mainly by suppressing ovulation and it is effective for 3 years after it is fitted. As long as you implant has not expired, the chances of you getting pregnant with an implant are very low
Q
Do you offer migraine tablet ? If it related to period?
A
No SWISH do not offer treatment for migraines. You should discuss this with your GP
Q
I visited Taunton clinic last October and was diagnosed with herpes. I need more Lidocaine. How do I get a prescription?
A
Please contact SWISH or GP to discuss your symptoms, if you require Lidocaine
Q
Do you carry out routine smear testing?
A
No SWISH do not perform cervical smear tests at present. You will need to arrange this with your GP surgery
Q
Is it possible to get a monkeypox vaccine at SWISH if you are a gay man in one of the at risk categories?
A
Vaccinations are currently taking place in Somerset on a very small scale through SWISH, currently this is only an opportunistic vaccination offer for patients attending our hub clinic, and when vaccine is available. This will be increasing as we receive more vaccine stock in the coming weeks. We will be inviting anyone who our sexual health services identify as a priority for vaccination and local teams will also be working to make sure that anyone who meets the criteria set by UKHSA knows how they can get their jab. We are asking people to wait to be contacted at this point and to then come forward at the earliest opportunity possible when invited to get vaccinated.
Q
do you do smear tests?
A
No SWISH do not perform cervical smear tests at present. You will need to arrange this with your GP surgery
Q
Do you offer help with getting a termination?
A
SWISH do not arrange this. Please call the Pregnancy Advice Line on 0345 013 0124 (available 24 hours, every day of the year) if you would like to arrange an abortion
Q
Do you offer the moneypox vaccine to those most at risk?
A
Vaccinations are currently taking place in Somerset on a very small scale through SWISH, currently this is only an opportunistic vaccination offer for patients attending our hub clinic, and when the vaccine is available. This will be increasing as we receive more vaccine stock in the coming weeks. We will be inviting anyone who our sexual health services identify as a priority for vaccination and local teams will also be working to make sure that anyone who meets the criteria set by UKHSA knows how they can get their jab. We are asking people to wait to be contacted at this point and to then come forward at the earliest opportunity possible when invited to get vaccinated.
Q
Am I able to claim travel expenses back when needing to take public transport for my appointment in-person, on the NHS Low Income Scheme (HC2)?
A
Please click here for information on financial assistance with travel costs
Q
Who does my daughter need to ask for a repeat prescription on the pill she started a few weeks ago from your clinic?
A
She can either contact SWISH or her GP for a further prescription of pills.
Q
Am I at risk of STI’s if someone spat in my mouth?
A
The risk of STI's from this would be very low however cannot be completely ruled out. Please contact SWISH and ask to speak to a health advisor if you wish to discuss it further
Q
Do you have other locations around the U.K.? I’m moving to Leeds and I am unsure if you post contraception across the U.K., if there are other clinics in the U.K. or if I need to change to a different clinic.
A
If you are moving out of Somerset you will need to find a service that provides contraception in the new area that you live in. You should be able to get contraception from a GP service once you have registered there, or there are likely to be sexual health services locally also.
Q
How can I access my sexual health records please?
A
Please click here and scroll towards the bottom of the page to fill out your contact details, then you tick the box for 'contraception' and write your request for your sexual health records in there. Somebody will then be able to contact you to discuss and arrange this.
Q
The website says free safer sex packs can be ordered. The link provides a 404 error. How do I order a safer sex pack when your own swish links are broken?
A
You can fill in the order form here
Q
What resources are there for hormone replacement therapy for transgender people/gender clinic referrals? My GP suggested SWISH but I couldn't find much info
A
This is information that should be provided by your GP.
Please see genderkit.org.uk for other useful information
Q
With taking the vaginal swabs, is it best to wait for a period to be finished? Or would it not effect the results?
A
Menstrual blood will not effect the test result, it is ok to take the swab during your period
Q
Hi, Does Swish offer help with Balanitis and Jock Itch please
A
You can obtain treatment for this from a pharmacy. If symptoms continue after you have tried treatment for 2 weeks, you should contact your GP or SWISH for a review
Q
I accidentally discarded the transport pack so had to post the blood sample without. Will my box be discarded and will I need to order another?
A
This may be ok if the sample has not spilled. If the specimen cannot be processed you will get a message to inform you that there was a problem with the sample and you will need to order another
Q
Is prep available in Somerset on the nhs ?
A
Yes, PREP is available on the NHS in Somerset to people who are eligible. Please contact SWISH and ask for a phone consultation with a Nurse advisor so you can discuss your eligibility
Q
Hello, would you be able to treat a patient for chronic thrush (vaginal) , or would I have to go to my local doctor's surgery?
A
If you have thrush symptoms that are persistent, and have had testing to exclude other STI's as the cause, then you should discuss this with your GP.
Q
Should I be embarrassed about booking an STI appointment for the first time?
A
There is no need to feel embarrassed about booking an appointment. SWISH offer a non-judgmental, discrete and confidential service to everyone. If you do not have any symptoms you can order an online test kit here
For more information about what to expect when you attend SWISH, please click here
Q
Do you offer cervical screening? I've had a reminder to get it done but it is impossible to get through to my GP practice on the telephone. Thanks.
A
SWISH are not able to perform cervical smear tests at the moment. You will need to arrange this with your GP surgery
Q
How long after sex should I get tested?
A
Chlamydia and Gonorrhoea can take up to 2 weeks, and HIV and Syphilis can take up to 3 months, to show in a test result after picking up the infection.
If you do not have any symptoms, we recommend that you wait until 2 weeks after unprotected sex with a new partner to do a test kit.
Q
Can I get contraception quicker than the Dr?
A
That depends on how long you need to wait for an appointment with your doctor. Please contact SWISH to arrange a phone consultation after which you may be able to have pills sent to you, or you may need to attend the clinic for a face to face appointment
Q
How long will it take for my birth control pills to arrive in the post after I’ve had a phone consultation?
A
You are likely to receive your pills within 10 days of your phone consultation, but it is often sooner than that. If you have not received the pills by then, please contact SWISH to discuss
Q
What do I need to bring to an implant removal appointment? The text said to click on the link for information about my visit but the link doesn’t work.
A
You do not need to bring anything to your appointment, however you will need to wear a mask or face covering to your face to face appointment at Swish (unless you are exempt).
Q
I was prescribed warticon. I know that it is dangerous during pregnancy. How soon after using the solution can I try to conceive? Does the medication stay in your system for a particular amount of time?
A
Warticon is not recommended for use in pregnancy, however there is no clear guidance in the medication literature about how long to wait after use before trying to conceive. We would suggest that you wait at least a week after you last used treatment and obviously do not use anymore Warticon whilst tryng to conceive or whilst pregnant
Q
Is there ever a stage when Genital Herpes is not contagious? For example, you had an outbreak 2 months ago. Is it less contagious a month or so afterwards?
A
When the virus is inactive (dormant) inside the nerve cells it cannot be caught by a partner. If there is virus on the skin surface where you get your symptoms, it may be passed on therefore avoid sex if you have a tingling sensation which indicates an outbreak may be coming. Also avoid sex during an outbreak, and for one week after to allow time for the virus to settle back into the nerve cells. Asymptomatic shedding can occur between outbreaks which means the virus is on the skin but the person feels no symptoms. This happens only in some people, and mostly in the first six months. After a year or two, if a person is not having many outbreaks, they will rarely have virus on the skin without symptoms.
Q
Does Swish help with male fertility?
A
No, SWISH do not help with male fertility. You should discuss fertility concerns or issues with your GP
Q
Do you do abortions?
A
No, SWISH do not deal with abortions. However if you wish to arrange an abortion please call the confidential Pregnancy Advice Line on 0345 013 0124. This number is available 24hours every day of the year
Q
I did a pregnancy test that said I was about 3 weeks pregnant, I had a ultrasound a week ago to see if I was eligible to have an abortion however they couldn’t see anything, now that I am a week further will I be able to get it done and can I do it somewhere that is separate from my gp as I’ve moved house but haven’t yet changed surgery.
A
You do not need to arrange an abortion with your GP. To arrange an abortion please call the confidential Pregnancy Advice Line on 0345 013 0124. This number is available 24hours every day of the year
Q
I spoke to someone on Friday , they said they would send a link for me to order test kits , I haven’t received it
A
If you do not have any symptoms, you can order a test kit from here, If you have symptoms, please call SWISH again and speak to a Nurse advisor
Q
Can I bring my 3yr old and 4yr old in to my appointment?
A
We recommend that you do not bring your children into your appointment with you, especially if you will be having a contraceptive method fitted or removed, or if you will be having an genital examination. We will also need to ask you personal and sensitive questions which would not be appropriate to do in the presence of young children. If you have trouble with childcare please contact SWISH so we can discuss this further.
Q
What does it mean when your arm hurts where your implant is, a few months after it was inserted?
A
We would not expect you to have pain in the area of your implant, more than a few days after it was fitted. If the pain does not settle down, and if you cannot feel the implant under the skin, please contact your GP or SWISH for further advice
Q
A few days ago my boy friend cummed in me 2-3 times. I have the implant but would I get pregnant from it?
A
If your implant was fitted more than 7 days before you had unprotected sex, the chance of pregnancy is very low. The contraceptive implant is over 99% effective.
Q
If I have possible herpes how can this be tested?!
A
If you have symptoms of Herpes like genital blisters or sores, you should contact your GP or SWISH as soon as possible. You will require an examination and a viral swab will be taken from the sores. Testing can only de done if you are displaying symptoms
Q
Am I able to get my old implant removed and a new one placed in on the same day??
A
Yes, if you are able to feel your current implant in your arm, you should be able to have your implant changed to a new one in one procedure.
Q
I’ve found that since getting the implant my mental health has deteriorated and I’ve been experiencing major mood swings. I’ve only had it for 9 months so I don’t know whether to wait it out and see if it gets better, since every other aspect of it works well for me, or get it removed? If I get it removed what are the best replacement options?
A
Progestogen only contraception methods, like the implant, can have an adverse effect on mood for some people. Please contact your GP or SWISH for further advice.
Q
How do I order an online test kit?
A
To order an online test kit from SWISH, click here to access the order form
Q
I would like some information about Herpes
A
For information about Herpes, or HSV, please visit https://herpes.org.uk
Q
Can an STI lie dormant in your body without symptoms for long periods of time ( 2 years+ ) before showing symptoms?
A
STIs can be present without symptoms for a long time, or present without any symptoms at all. For instance, with Chlamydia, more than two in three women and one in two men with Chlamydia will not have any obvious signs or symptoms, or will have symptoms so mild that they are not noticed. Signs and symptoms can show up 1–3 weeks after coming into contact with Chlamydia, many months later, or not until the infection spreads to other parts of your body. So, technically it is possible to have an infection long term and not be aware, hence regular testing is important, especially when having changes in partners or at least once a year (or if symptoms develop).
Q
How can I get a test kit?
A
To order an online test kit from SWISH, click here to access the order form
Q
can I get the implant without my parents knowing?
A
You can have a contraceptive implant fitted without your parents knowing. Click here for more information about young people, the law and visiting a SWISH service
Q
Can I book a smear test with you. I don't want it done by my GP.
A
SWISH are not able to perform cervical smear tests at the moment. You will need to arrange this with your GP surgery
Q
Hiya I had a home test kit and sent it back last week now my phones broken and waiting on a replacement but I can’t access my results till then could anyone send me a email with them ?
A
Please contact SWISH and ask to speak to a Nurse advisor who will be able to check your test results for you.
Q
Hello, I was prescribed some warticon solution a while ago and have had to reuse it for some reoccuring warts, but have run out of the spatula/loops used to application. Can you advice the best place to get some more, as I am now based in Guildford not Taunton. Thank you
A
The Warticon solution may be expired or, if it was opened a long time ago, it should be disposed of. You will need to contact your local sexual health service if you require treatment for recurring genital warts.
Q
Can you text my test results
A
You should receive a text message about your test results 7-10 days they were sent to the lab. If you have not received your results after that time, please contact SWISH as we may not have correct contact details for you.
Q
Why does it take me ages to ejaculate
A
You will need to discuss this symptom with your GP
Q
I had a coil inserted this week, when is it safe for me to check for the strings and what should I expect to feel?
A
It is safe for you to check your threads at any time after it is fitted. Please see https://swishservices.co.uk/visiting-swish-for-iuc/ and watch the video from the section 'After the fit', for full advice on how to check your threads.
Q
How early on can I test for pregnancy?
A
Pregnancy tests can take 3 weeks to show as positive after sex or from the first day of missed period
Q
Do you offer a sex worker clinic?
A
SWISH do not currently hold clinics for specific groups of people, however an individuals needs will be assessed during an initial confidential phone consultation with SWISH. After that you can either complete testing with an online test kit or attend clinic if appropriate and you will be offered vaccinations and contraception/condom provision as required. You can order an online test kit from here
Q
Hey, i got the implant in october, everything was alright at first. however i have noticed that i’ve been on my period for a while now (maybe a month) however it’s not normal discharge? i’ve found that for a week it will be regular period discharge (for me anyway) and then for a couple weeks it will be brown and very thick, then it’ll back to my usual discharge? i was wondering if that’s an issue with my implant or i need to see a gp?
A
It is not unusual to have prolonged, light bleeding with the implant. It may settle down with time.
Unusual discharge can be a symptoms of a STI and if you have not tested for STIs since your last change of sexual partner, we would recommend that you order a test kit from the SWISH homepage. If your bleeding/discharge does not improve, please contact your GP or SWISH for advice
Q
Do you need to book an appointment to just get antibiotics for STIs?
A
You will need to arrange a phone consultation with SWISH to discuss treatment, if you have a positive result for an STI. Call 0300 1245010 or use the online booking form on the SWISH homepage
Q
Can I do the vaginal swab test while on my period?
A
Yes you can complete a home test kit whilst on your period, the blood will not affect the result
Q
Yesterday my boyfriend cummed in me 3 times would I get pregnant from that?
A
Yes, there is a pregnancy risk from this if you are not using a method of contraception. If you are not using contraception and do not wish to be pregnant you should use emergency contraception as soon as possible. If you need emergency contraception please call SWISH on 0300 1245010. You can also obtain emergency contraception from your GP and other health professionals including pharmacists, minor injury units and A&E
